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management diagnosis differential abscess apex bcnie betadglucan bloodculture causes clinical correction endocarditis falsepositives galactomannan goal herpes hyponatremia hzo infectiousdiseases infective
Hyponatremia Correction 1. Indications for Hypertonic Saline: seizure, coma, focal findings - typically occurs with
Dextrose in water @ 3cc ... /kg/h, loop diuretics ... MH/CCF/CWRU EM ... Correction #goal #rate ... #management #nephrology
Management of Pediatric Kidney Stones Acute Managment: • Pain relief: NSAIDs, opioids • Facilitating passage of stone:
therapy (MET): e.g ... , Anuria - PCN ... +/- Stent: < 2 cm ... Open surgery: rare ... Management #Pediatrics #nephrology
Blood Culture-Negative Infective Endocarditis (BCNIE) Definition: No etiology found after 3 separate blood cultures remain negative for
reduces recovery rate ... fastidious bacteria or fungi ... Tropheryma whipplei, Fungi ... special stains (e.g ... bacteria) and 18S ( fungi
1,3-Beta-D-Glucan and Galactomannan Testing Sensitivity Specificity and False Positives 1,3-Beta-D-Glucan • Cell wall component of many fungi
component of many fungi ... Other +s: PCP, Histo ... formulations (eg ... closely related fungi ... Galactomannan #Fungal
Lung Abscess - Diagnosis and Management Summary Lung Abscess Etiology: • Necrosis of lung parenchyma by a
weight loss • Late ... Clindamycin in case of PCN ... Cavitation > 6 cm ... Prevotella • Fungal ... • Vasculitis (e.g
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO) This 81 yo male was referred to our
treated by his PCP ... acyclovir 10mg/kg ... Syndrome is a rare ... #physicalexam #neurology
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